Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Phillip Pirgousis, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1790913432

Prof. Phillip Pirgousis, MD is an Otolaryngology in Jacksonville, Florida. Qualified in 2003, 23 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Fax: (904) 953-2489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME160983 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DTP520 (FL)

Record details

NPI number1790913432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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